Skip to main content
Top
Published in: Journal of Medical Systems 1/2016

01-01-2016 | Systems-Level Quality Improvement

Characterizing Awake and Anesthetized States Using a Dimensionality Reduction Method

Authors: M. Mirsadeghi, H. Behnam, R. Shalbaf, H. Jelveh Moghadam

Published in: Journal of Medical Systems | Issue 1/2016

Login to get access

Abstract

Distinguishing between awake and anesthetized states is one of the important problems in surgery. Vital signals contain valuable information that can be used in prediction of different levels of anesthesia. Some monitors based on electroencephalogram (EEG) such as the Bispectral (BIS) index have been proposed in recent years. This study proposes a new method for characterizing between awake and anesthetized states. We validated our method by obtaining data from 25 patients during the cardiac surgery that requires cardiopulmonary bypass. At first, some linear and non-linear features are extracted from EEG signals. Then a method called “LLE”(Locally Linear Embedding) is used to map high-dimensional features in a three-dimensional output space. Finally, low dimensional data are used as an input to a quadratic discriminant analyzer (QDA). The experimental results indicate that an overall accuracy of 88.4 % can be obtained using this method for classifying the EEG signal into conscious and unconscious states for all patients. Considering the reliability of this method, we can develop a new EEG monitoring system that could assist the anesthesiologists to estimate the depth of anesthesia accurately.
Literature
1.
go back to reference Mortier, E.P., and Struys, M.M.R., Monitoring the depth of anaesthesia using bispectral analysis and closed-loop controlled administration of propofol. Best Pract. & Res. Clin. Anaesthesiology. 15(1):83–96, 2001.CrossRef Mortier, E.P., and Struys, M.M.R., Monitoring the depth of anaesthesia using bispectral analysis and closed-loop controlled administration of propofol. Best Pract. & Res. Clin. Anaesthesiology. 15(1):83–96, 2001.CrossRef
2.
go back to reference Sinha, P.K., and Koshy, T., Monitoring devices for measuring the depth of anaesthesia-an overview. Indian J. Anaesthesia. 51(5):365–381, 2007. Sinha, P.K., and Koshy, T., Monitoring devices for measuring the depth of anaesthesia-an overview. Indian J. Anaesthesia. 51(5):365–381, 2007.
3.
go back to reference Shalbaf, R., Behnam, H., Sleigh, J., Steyn-Ross, A., and Voss, L., Monitoring the depth of anesthesia using entropy features and an artificial neural network. J. Neurosci. Methods. 218(1):17–24, 2013.PubMedCrossRef Shalbaf, R., Behnam, H., Sleigh, J., Steyn-Ross, A., and Voss, L., Monitoring the depth of anesthesia using entropy features and an artificial neural network. J. Neurosci. Methods. 218(1):17–24, 2013.PubMedCrossRef
4.
go back to reference Gugino, L.D., Chabot, R.J., Prichep, L.S., John, E.R., Formanek, V., and Aglio, L.S., Quantitative EEG changes associated with loss and return of consciousness in healthy adult volunteers anaesthetized with propofol or sevoflurane. Br. J. Anaesth. 87(3):421–428, 2001.PubMedCrossRef Gugino, L.D., Chabot, R.J., Prichep, L.S., John, E.R., Formanek, V., and Aglio, L.S., Quantitative EEG changes associated with loss and return of consciousness in healthy adult volunteers anaesthetized with propofol or sevoflurane. Br. J. Anaesth. 87(3):421–428, 2001.PubMedCrossRef
5.
go back to reference Rampil, I.J., A primer for EEG signal processing in anesthesia. Anesthesiology. 89:980–1002, 1998.PubMedCrossRef Rampil, I.J., A primer for EEG signal processing in anesthesia. Anesthesiology. 89:980–1002, 1998.PubMedCrossRef
6.
go back to reference Schwender, D., Daunerer, M., Klasing, S., Finsterer, U., and Peter, K., Power spectral analysis of the electroencephalogram during increasing end-expiratory concentrations of isoflurane and sevoflurane. Anesthesiology. 53:335–342, 1998. Schwender, D., Daunerer, M., Klasing, S., Finsterer, U., and Peter, K., Power spectral analysis of the electroencephalogram during increasing end-expiratory concentrations of isoflurane and sevoflurane. Anesthesiology. 53:335–342, 1998.
7.
go back to reference Hosseini, P.T., Shalbaf, R., and Nasrabadi, A.M., Extracting a seizure intensity index from one-channel EEG signal using bispectral and detrended fluctuation analysis. J. Biomed. Sci. Eng. 3:253–261, 2010.CrossRef Hosseini, P.T., Shalbaf, R., and Nasrabadi, A.M., Extracting a seizure intensity index from one-channel EEG signal using bispectral and detrended fluctuation analysis. J. Biomed. Sci. Eng. 3:253–261, 2010.CrossRef
8.
go back to reference Shalbaf, R., Behnam, H., Sleigh, J.W., Steyn-Ross, D.A., and Steyn-Ross, M.L., Frontal-temporal synchronization of EEG signals quantified by order patterns cross recurrence analysis during propofol anesthesia. IEEE Trans. Neural Syst. Rehabil. Eng. 23:468–474, 2015.PubMed Shalbaf, R., Behnam, H., Sleigh, J.W., Steyn-Ross, D.A., and Steyn-Ross, M.L., Frontal-temporal synchronization of EEG signals quantified by order patterns cross recurrence analysis during propofol anesthesia. IEEE Trans. Neural Syst. Rehabil. Eng. 23:468–474, 2015.PubMed
9.
go back to reference Viertiö-Oja, H., Maja, V., Särkelä, M., Talja, P., Tenkanen, N., et al., Description of the entropy algorithm as applied in the datex-ohmeda S/5 entropy module. Acta Anaesth. Scand. 48(2):154–161, 2004.PubMedCrossRef Viertiö-Oja, H., Maja, V., Särkelä, M., Talja, P., Tenkanen, N., et al., Description of the entropy algorithm as applied in the datex-ohmeda S/5 entropy module. Acta Anaesth. Scand. 48(2):154–161, 2004.PubMedCrossRef
10.
go back to reference Paul, D.B., and Rao, G.S.U., Correlation of bispectral index with glasgow coma score in mild and moderate head injuries. J. Clin. Monit. Comput. 20(6):399–404, 2006.PubMedCrossRef Paul, D.B., and Rao, G.S.U., Correlation of bispectral index with glasgow coma score in mild and moderate head injuries. J. Clin. Monit. Comput. 20(6):399–404, 2006.PubMedCrossRef
11.
go back to reference Kortelainen, J., Vayrynen, E., and Seppanen, T., Isomap approach to EEG-based assessment of neurophysiological changes during anesthesia. IEEE Trans. Neural Syst Rehabil Eng. 19:113–120, 2011.PubMedCrossRef Kortelainen, J., Vayrynen, E., and Seppanen, T., Isomap approach to EEG-based assessment of neurophysiological changes during anesthesia. IEEE Trans. Neural Syst Rehabil Eng. 19:113–120, 2011.PubMedCrossRef
12.
go back to reference Lopour, A.B., Tasoglu, S., Kirsch, H.E., Sleigh, J.W., and Szeri, A.J., A continuous mapping of sleep states through association of EEG with a mesoscale cortical model. J. Comput. Neurosci. 30:471–487, 2011.PubMedPubMedCentralCrossRef Lopour, A.B., Tasoglu, S., Kirsch, H.E., Sleigh, J.W., and Szeri, A.J., A continuous mapping of sleep states through association of EEG with a mesoscale cortical model. J. Comput. Neurosci. 30:471–487, 2011.PubMedPubMedCentralCrossRef
13.
go back to reference Dodge Y (2003) The Oxford Dictionary of Statistical Terms. ISBN 0–19-920613-9 Dodge Y (2003) The Oxford Dictionary of Statistical Terms. ISBN 0–19-920613-9
14.
go back to reference MacKay, E.C., Sleigh, J.W., Voss, L.J., and Barnard, J.P., Episodic waveforms in the electroencephalogram during general anaesthesia: a study of patterns of response to noxious stimuli. Anaesth. Intensive Care. 38(1):102–112, 2010.PubMed MacKay, E.C., Sleigh, J.W., Voss, L.J., and Barnard, J.P., Episodic waveforms in the electroencephalogram during general anaesthesia: a study of patterns of response to noxious stimuli. Anaesth. Intensive Care. 38(1):102–112, 2010.PubMed
15.
go back to reference Olofsen, E., WSleigh, J., and Dahan, A., Permutation entropy of the electroencephalogram: a measure of anesthetic drug effect. Br. J. Anaesth. 101:810–821, 2008.PubMedCrossRef Olofsen, E., WSleigh, J., and Dahan, A., Permutation entropy of the electroencephalogram: a measure of anesthetic drug effect. Br. J. Anaesth. 101:810–821, 2008.PubMedCrossRef
16.
go back to reference Shalbaf, R., Behnam, H., Sleigh, J., and Voss, L., Measuring the effects of sevoflurane on electroencephalogram using sample entropy. Acta Anaesthesiol. Scand. 56:880–889, 2012.PubMedCrossRef Shalbaf, R., Behnam, H., Sleigh, J., and Voss, L., Measuring the effects of sevoflurane on electroencephalogram using sample entropy. Acta Anaesthesiol. Scand. 56:880–889, 2012.PubMedCrossRef
17.
go back to reference Roweis, S.T., and Saul, L.K., Nonlinear dimensionality reduction by locally linear embedding. Science. 290:2323–2326, 2000.PubMedCrossRef Roweis, S.T., and Saul, L.K., Nonlinear dimensionality reduction by locally linear embedding. Science. 290:2323–2326, 2000.PubMedCrossRef
18.
go back to reference Ataee P, Yazdani A, Setarehdan S, Noubari HA (2007) Manifold learning applied on EEG signal of the epileptic patients for detection of normal and pre-seizure states. Engineering in Medicine and Biology Society, EMBS 2007. 29th Annual International Conference of the IEEE, 5489–5492, 2007. Ataee P, Yazdani A, Setarehdan S, Noubari HA (2007) Manifold learning applied on EEG signal of the epileptic patients for detection of normal and pre-seizure states. Engineering in Medicine and Biology Society, EMBS 2007. 29th Annual International Conference of the IEEE, 5489–5492, 2007.
19.
go back to reference Alizadeh-Sani, Z., Shalbaf, A., Behnam, H., and Shalbaf, R., Automatic computation of left ventricular volume change from echocardiography images using nonlinear dimensionality reduction. J. Digit. Imaging. 28:91–98, 2015. Alizadeh-Sani, Z., Shalbaf, A., Behnam, H., and Shalbaf, R., Automatic computation of left ventricular volume change from echocardiography images using nonlinear dimensionality reduction. J. Digit. Imaging. 28:91–98, 2015.
20.
go back to reference Saul, L.K., Roweis, S.T., and Singer, Y., Think globally, fit locally: unsupervised learning of low dimensional manifolds. J. Mach. Learn. Res. 4:119–155, 2003. Saul, L.K., Roweis, S.T., and Singer, Y., Think globally, fit locally: unsupervised learning of low dimensional manifolds. J. Mach. Learn. Res. 4:119–155, 2003.
21.
go back to reference Saul, L.K., and Roweis, S.T., Nonlinear dimensionality reduction by locally linear embedding. Science. 290:2323–2326, 2000.PubMedCrossRef Saul, L.K., and Roweis, S.T., Nonlinear dimensionality reduction by locally linear embedding. Science. 290:2323–2326, 2000.PubMedCrossRef
23.
go back to reference Cheng LL, Sako H, Fujisawa H (2002) Learning quadratic discriminant function for handwritten character classification. Pattern Recognition, 2002. Proceedings. 16th International Conference on (Volume:4 ), 44–47, 2002. Cheng LL, Sako H, Fujisawa H (2002) Learning quadratic discriminant function for handwritten character classification. Pattern Recognition, 2002. Proceedings. 16th International Conference on (Volume:4 ), 44–47, 2002.
24.
go back to reference Shalbaf, R., Behnam, H., and Moghadam, H.J., Monitoring depth of anesthesia using combination of EEG measure and hemodynamic variables. Cogn. Neurodyn. 9:41–51, 2015.PubMedCrossRef Shalbaf, R., Behnam, H., and Moghadam, H.J., Monitoring depth of anesthesia using combination of EEG measure and hemodynamic variables. Cogn. Neurodyn. 9:41–51, 2015.PubMedCrossRef
25.
go back to reference Bostanov, V., BCI competition 2003—data sets ib and iib: feature extraction from event-related brain potentials with the continuous wavelet transform and the t-value scalogram. IEEE Trans. Biomed. Eng. 51:57–61, 2004.CrossRef Bostanov, V., BCI competition 2003—data sets ib and iib: feature extraction from event-related brain potentials with the continuous wavelet transform and the t-value scalogram. IEEE Trans. Biomed. Eng. 51:57–61, 2004.CrossRef
26.
go back to reference Hagihira, S., Takashina, M., Mori, T., Mashimo, T., and Yoshiya, I., Practical issues in bispectral analysis of electroencephalographic signals. Anesth. Analg. 93:966–970, 2001.PubMedCrossRef Hagihira, S., Takashina, M., Mori, T., Mashimo, T., and Yoshiya, I., Practical issues in bispectral analysis of electroencephalographic signals. Anesth. Analg. 93:966–970, 2001.PubMedCrossRef
27.
go back to reference Shalbaf, R., Behnam, H., Sleigh, J.W., and Voss, L.J., Using the Hilbert-Huang transform to measure the electroencephalographic effect of propofol. Physiol. Meas. 33(2):271–285, 2012. Shalbaf, R., Behnam, H., Sleigh, J.W., and Voss, L.J., Using the Hilbert-Huang transform to measure the electroencephalographic effect of propofol. Physiol. Meas. 33(2):271–285, 2012.
28.
go back to reference Muncaster, A., Sleigh, J., and Williams, M., Changes in consciousness, conceptual memory, and quantitative electroencephalographical measures during recovery from sevoflurane- and remifentanilbased anesthesia. Anesth. Analg. 96:720–725, 2003.PubMedCrossRef Muncaster, A., Sleigh, J., and Williams, M., Changes in consciousness, conceptual memory, and quantitative electroencephalographical measures during recovery from sevoflurane- and remifentanilbased anesthesia. Anesth. Analg. 96:720–725, 2003.PubMedCrossRef
29.
go back to reference Johansen, J.W., and Sebel, P.S., Effects of the anesthetic agent propofol on neural populations. Cogn. Neurodyn. 4(37–59), 2000. Johansen, J.W., and Sebel, P.S., Effects of the anesthetic agent propofol on neural populations. Cogn. Neurodyn. 4(37–59), 2000.
30.
go back to reference Sleigh, J.W., and Donovan, J., Comparison of the bispectral index, 95 % spectral edge frequency and approximate entropy of the EEG, with changes in heart rate variability during induction and recovery from general anaesthesia. Br J. Anesth. 82:666–671, 1999.CrossRef Sleigh, J.W., and Donovan, J., Comparison of the bispectral index, 95 % spectral edge frequency and approximate entropy of the EEG, with changes in heart rate variability during induction and recovery from general anaesthesia. Br J. Anesth. 82:666–671, 1999.CrossRef
31.
go back to reference Pilge, S., Zanner, R., Schneider, G., Blum, J., Kreuzer, M., and Kochs, E.F., Time delay of index calculation: analysis of cerebral state, bispectral, and narcotrend indices. Anesthesiology. 104:488–494, 2006.PubMedCrossRef Pilge, S., Zanner, R., Schneider, G., Blum, J., Kreuzer, M., and Kochs, E.F., Time delay of index calculation: analysis of cerebral state, bispectral, and narcotrend indices. Anesthesiology. 104:488–494, 2006.PubMedCrossRef
Metadata
Title
Characterizing Awake and Anesthetized States Using a Dimensionality Reduction Method
Authors
M. Mirsadeghi
H. Behnam
R. Shalbaf
H. Jelveh Moghadam
Publication date
01-01-2016
Publisher
Springer US
Published in
Journal of Medical Systems / Issue 1/2016
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-015-0382-4

Other articles of this Issue 1/2016

Journal of Medical Systems 1/2016 Go to the issue

Transactional Processing Systems

Gastric Cancer Regional Detection System